CMHT Scheme Benefits

Up to Rs. 2,00,000/- health cover :

The CMHT scheme covers cashless health protection up to Rs 2. lakh per family/per year.

By producing the CMHT-Manipur Health card at the empanelled hospitals, a beneficiary can get cashless treatment without making any payment to the empanelled hospitals up to Rs. 2 lakhs for secondary and tertiary health care per year per enrolled family on floater basis. The benefit will be applicable on hospitalization procedures only.

Other benefits :

a) Within State: A transport allowance (Rs.300 per visit) subject to an annual ceiling of Rs.3000 included in the total coverage of Rs.2 Lakhs per family.

For availing transport allowance, beneficiary will have to provide bank account details at the time of hospitalisation in order for the amount to be deposited into his/her account.

b) Outside State: Daily allowance of Rs 1000 up-to a total limit of Rs 10,000 provided the total no of days claimed matches the hospital length of stay or treatment dates (also inclusive within the total coverage of Rs 2 Lakhs per family)

Package Categories

Sr. No. Package Category Count Percentage
1 BURN AND PLASTIC 18 0.98
2 CARDIOLOGY AND CARDIAC SURGERY 107 5.80
3 E N T 35 1.90
4 ENDOCRINE SURGERY 3 0.16
5 GASTROENTEROLOGY 6 0.33
6 GENERAL MEDICINE 31 1.68
7 GENERAL SURGERY 79 4.28
8 GENERAL WARD 1 0.05
9 GENITOURINARY SURGERY 31 1.68
10 GYNAECOLOGY 36 1.95
11 GYNAECOLOGY OBSTETRIC SURGERY 23 1.25
12 HEMATOLOGY 7 0.38
13 HEPATOLOGY 9 0.49
14 ICU 1 0.05
15 INFECTIOUS DISEASES - GENERAL MEDICINE 1 0.05
16 INTERVENTIONAL CARDIOLOGY 15 0.81
17 INTERVENTIONAL RADIOLOGY 39 2.11
18 MEDICAL 5 0.27
19 MEDICAL ONCOLOGY 526 28.52
20 NEONATOLOGY 34 1.84
21 NEPHROLOGY 13 0.70
22 NEUROLOGY 12 0.65
23 NEUROSURGERY 81 4.39
24 NOSE 12 0.65
25 ONCOLOGY 8 0.43
26 ONCOSURGERY 18 0.98
27 OPHTHALMOLOGY 57 3.09
28 OPHTHALMOLOGY SURGERIES 15 0.81
29 ORTHOPAEDIC 43 2.33
30 ORTHOPEDIC TRAUMA 33 1.79
31 PAEDIATRIC SURGERIES 32 1.74
32 PAEDIATRICS 91 4.93
33 PLASTIC SURGERY 4 0.22
34 PULMONLOGY 6 0.33
35 RADIATION ONCOLOGY 10 0.54
36 STEMI 5 0.27
37 SURGICAL GASTRO ENTEROLOGY 82 4.45
38 SURGICAL ONCOLOGY 99 5.37
39 THORACIC MEDICINE 4 0.22
40 THROAT 19 1.03
41 UNSPECIFIED 1 0.05
42 UROLOGY 74 4.01
43 VASCULAR SURGERIES 118 6.40
TOTAL 1844 100%

CMHT Guidelines

I. Overview of Chief Minister-gi Hakshelgi Tengbang (CMHT)

Chief Minister-gi Hakshelgi Tengbang (CMHT) is a pioneering health assurance scheme initiated by the Government of Manipur. The Scheme will provide Cashless treatment to the poor at the Empanelled Network of Hospitals and cover up to Rs. 2 Lakhs per eligible family per year to the enrolled beneficiary.

1. Objectives of CMHT

The Scheme will cover secondary and tertiary care on Hospitalization at empanelled network Hospitals:
Under the Scheme, treatment will be available at 9 District Hospitals(2 Medical colleges -RIMS & JNIMS) | CHC (Wangoi) | and other empanelled private hospitals.

2. Eligible Beneficiaries under the Scheme

  • Widows, Disabled and AAY cards holder will be eligible for the scheme.
  • Local Media Person & Newspaper hawkers.
  • Newly added poor families -(State SECC-identified through DC verification process)

3. Enrolment and Issuance of Card

  • Eligible families need to get enrolled into the scheme by producing mandatory documents.
  • Each eligible beneficiary family will receive a CMHT - Manipur Health card with a unique family identification number.
  • Upto 5 members of the family will be printed on the card. If there are more than 5 members, then additional members count will be written next to 5th name (Eg. 2 more, 1 more, 3 more and soon)

4. Mandatory Documents required for Enrolment:

  • ID Proof: Original Ration Card /Aadhaar Number.
  • Eligibility Proof: AAY card / Disability certificate / Widow- proof certificate (Death Certificate of the husband) /Certificate from Deputy Commissioner regarding eligible economic status (In case the family is not listed in SECC database) / Any other documents approved as eligible proof by Government of Manipur. Any one of the above is acceptable as eligibility proof. For Local Media person & Newspaper hawkers authorised Agency’s ID card.
  • Aadhar Number: To enroll in the scheme, Aadhaar number is essential and the copy of Aadhar card is to be shared along with the consent. At least, head of the family or minimum one member of family must provide Aadhaar credentials for enrolling the family. If the beneficiary is not having Aadhaar card and they still want to get enrolled in the scheme, they have to get enrolled into Aadhaar and provide the Aadhaar application number and consent form.
  • Optional Documents: Any document which is notified as acceptable and issued through Government of Manipur.

5. Benefits under the Scheme

  • By showing CMHT-Manipur Health card, a beneficiary can get cashless treatment without making any payment to the empanelled hospitals Rs. 2 Lakhs for seven critical ailments per year per enrolled family on floater basis. The benefit will be applicable on hospitalization and certain daycare procedures only. This capped benefit of Rs 2 Lakhs will include the capped travel and daily allowance.
  • Maximum cover per family is of Rs 2 Lakhs. The total benefit will be admissible up to the ceiling amount of Rs 2 Lakhs per year per family including transport and daily allowances.

6. Empanelled Hospitals

CHCs (Wangoi) | District Hospitals | RIMS | JNIMS and other empanelled private Hospitals are in the Network of CMHT Manipur Scheme. The beneficiary will be offered the option to choose hospitals within the State in the first instance, provided there is availability of capacity and the treatment procedure.

"Health Coordinator" appointed by the ISA at the empanelled Hospitals, within the State, will guide the beneficiary in the empanelled hospitals, from enrolment to admission to discharge.

II. Implementation of CMHT

1. State Nodal Cell (SNC)

State Nodal Cell (SNC) has been set up by the Government of Manipur for the implementation of the Scheme. SNC will support implementation by the ISA and supervise the Scheme.

2. Implementation Support Agency (ISA)

Medi Assist Insurance TPA Pvt. Ltd. has been selected by the SNC through an open and transparent tender process to support execution of the following activities of the Scheme:

  • Enrolment of beneficiaries.
  • Establishment of Enrolment Kiosks at all the PHCs across all districts of Manipur for 6 Months.
  • Establish Enrolment Kiosk cum Claims Help Desk at all | District Hospitals | RIMS | JNIMS| Wangoi CHC
  • Empanelling hospitals.
  • Deployment of Health Coordinators at empanelled Public hospitals within the State to facilitate the beneficiaries and ensure that effective treatment is extended to the beneficiary patients without any hassle.
  • Provide software access to the hospitals for cashless process besides ensuring that the empanelled hospitals set up the infrastructure and follow the duly agreed processes.
  • Ensuring that the beneficiaries are provided cashless treatment at empaneled hospitals including processing and verification of bill details and then forwarding to SNC for making payment to the hospitals.
  • Quality Audit of the empaneled hospitals from time to time as agreedin the contract with the SNC.
  • Set up a 24x7 Call Centre to help beneficiaries get timely support and clarifications. The Toll Free Numbers Registered for CMHT - Manipur is l800 103 2015
  • Timely redressal received of grievances received at Call Center as well as at the field level in collaboration with SNC

III. Roles & Responsibilities

The overall responsibility of implementation of the Schemelies with the ISA. However, responsible and designated District Officials will be necessary to coordinate and facilitate the work of the ISA to ensure the success of the Scheme under the overall guidance of the SNC.

1. Responsibilities of District Officials

The District team lead by Deputy Commissioners in the districts will be responsible for ensuring that the Scheme is implemented by the ISA in a proper and robust manner. Each district will have to coordinate all activities related to the Scheme with the ISA. He/ She will be supported

  • Pre-Enrolment
    • There will be a kick off meeting chaired by the DCs in each District. A detailed enrolment and activity plan will be worked out and key officials identified in consultation with the SNC.
    • Space for setting up of the Enrollment Kiosks by the ISA will be allotted in all the PHCs in consultation with the Chief Medical Officer and Medical Officer in-charge.
    • Verifying Authorities (VAs) will be identified to verify and authenticate beneficiary credentials and documents as per Government of Manipur guidelines before enrolling the respective beneficiary family. All PHCs MO's will nominate their respective VAs.
    • Will support the ISA to ensure training of VAs, IT staff and other support staff at the district level.
    • Deputy Commissioners will take the lead and guide the organizationof district workshops by the ISA.
    • Will ensure adequate and appropriate publicity by the ISA through Asha workers before the process of enrolment commences.
  • During Enrolment
    • Will monitor and ensure participation of VAs in the enrolment process at the PHC Kiosks.
    • Will ensure specific publicity of the process for enrolment of eligible beneficiaries. (Asha carrying the list of beneficiary families)
    • Will ensure availability of ASHAs for queue management and publicity.
    • To keep additional VAs inreserve in case the designated VAs at enrolment stations are absent / unable to perform duties.
    • To provide support to ISA during enrolment by helping them with coordination with stakeholders at the District, Block and Panchayat levels.
    • To ensure that the VA submits the enrolment activity report on a weekly basis and the same is transmitted to the District Nodal Officers and other relevant officials at SNC.
    • To review the performance of ISA with regard to the enrolment status through periodic review meetings.

2. Responsibilities of District Officials

The District team lead by Deputy Commissioners in the districts will be responsible for ensuring that the Scheme is implemented by the ISA in a proper and robust manner. Each district will have a Nodal Officer in the rank of a District Community Mobiliser (DCM) to coordinate all activities related to the Scheme with the ISA. HeI She will be supported by designated Block and village Nodal officers.

  • Pre-Enrolment
    • There will be a kick off meeting chaired by the DCs in each District. A detailed enrolment and activity plan will be worked out and key officials identified in consultation with the SNC.
    • Space for setting up of the Enrollment Kiosks by the ISA will be allotted in all the PHCs in consultation with the Chief Medical Officer and Medical Officer in-charge.
    • Verifying Authorities (VAs) will be identified to verify and authenticate beneficiary credentials and documents as per Government of Manipur guidelines before enrolling the respective beneficiary family. All PHCs MO's will nominate their respective VAs.
    • Will support the ISA to ensure training of VAs, IT staff and other support staff at the district level.
    • Deputy Commissioners will take the lead and guide the organizationof district workshops by the ISA.
    • Will ensure adequate and appropriate publicity by the ISA through Asha workers before the process of enrolment commences.
  • During Enrolment
    • Will monitor and ensure participation of VAs in the enrolment process at the PHC Kiosks.
    • Will ensure specific publicity of the process for enrolment of eligible beneficiaries. (Asha carrying the list of beneficiary families)
    • Will ensure availability of ASHAs for queue management and publicity.
    • To keep additional VAs inreserve in case the designated VAs at enrolment stations are absent / unable to perform duties.
    • To provide support to ISA during enrolment by helping them with coordination with stakeholders at the District, Block and Panchayat levels.
    • To ensure that the VA submits the enrolment activity report on a weekly basis and the same is transmitted to the District Nodal Officers and other relevant officials at SNC.
    • To review the performance of ISA with regard to the enrolment status through periodic review meetings.

3. Responsibilities of Validating Authorities (VAs)

  • Pre-Enrolment
    • To collect information about the name of the village(s) and the location(s) of the Enrolment Kiosk(s).
    • To collect the contact details of the ISA or their field agency.
    • To collect information about the date on which enrolment is to start.
    • To reach the Enrolment Kiosk at the given time and date (and to inform the ISA a day in advance in case of inability to come).
  • During Enrolment
    • To identify the beneficiary at the Enrolment Kiosk either by face or with the help of identification document.
    • To ensure that the enrolment team enters the information about the beneficiaries, namely, name, gender and age (including the details of the dependents, wherever applicable) correctly.
    • To ensure that the enrolment team is not excluding any eligible member of the identified family present for enrolment.
    • To validate all details before the card is printed.
    • To ensure that the card is handed over immediately to the beneficiary by the enrolment team after validation and enrolment.
    • To ensure that the enrolment team from the ISA is providing information booklet to each beneficiary family along with the card.
    • To verify all information with the official documents, if anyone complains about their names missing from the beneficiary list. Details should be collected in the specified format and referred to the district administration for guidance.
    • If all eligible members of a beneficiary family are not present at the PHC Kiosk, the VA has to inform the family that they can be added to the card at the PHC / Hospital Enrolment Kiosk at a later date.

4. Responsibilities of Health Coordinator

Health Coordinators are appointed by the ISA to facilitate beneficiaries from the time of enrolment/admission/hospitalization till discharge. Health Coordinator must act as a guide and friend for the prospective beneficiaries under the Scheme.

The ISA will post a Health Coordinator at each empanelled public hospitals. It will ensure that the Health Coordinators are able to communicate effectively with the patients and their attendants and are adequately trained and sensitized to the needs of the patients and their attendants.

The roles and responsibilities of Health Coordinators are as given below:

  • At the Empanelled Hospita
    • In Case of enrolment at Hospital Kiosk
    • To maintain Help Desk and Enrolment Kiosk at the reception of the hospital.
    • To enrol eligible beneficiaries who come for enrolment and distribute them the CMHT- Manipur Health Card.
    • To register the claim of the un-eligible beneficiary for enrolment and upload the same details to respective Deputy Commissioner of the district for verification.
    • Once the DC verifies the details, inform the beneficiary to visit and enrol if eligible or provide information details on non eligibility.
  • In case of availing benefits.
    • To receive the patient (referred from PHC/CHC or Network).
    • To verify the CMHT Health card and the documents of the patients.
    • To facilitate consultation with the doctor and for admission.
    • To coordinate with designated Hospital Coordinator/Administrator.
    • To counsel the patient regarding treatment/surgery /therapy.
    • To facilitate early evaluation and posting for surgery/therapy.
    • To ensure that the pre-authorization is correctly sent and followed-upon approval.
    • To facilitate discharge of the patient and obtain feedback.
    • To counsel the patient regarding follow-up.
    • To coordinate with the ISA and Medical Officers for any clarifications.

IV. Enrolment of Beneficiaries and How to avail Benefits

For Eligible Beneficiaries

(Beneficiaries having 1. AAY card 2. Disability Certificate 3.Widow (death certificate of husband), local media person, Newspaper hawkers and newly identified other poor families (to be verified by the concern District Commissioner)

ISA will provide Village wise eligible beneficiary list along with Scheme leaflet. The Eligible Beneficiary will visit nearest District Hospitals along with mandatory documents to get enrolled.

The CMHT- Manipur Health Card will be issued to the beneficiary having AAY card| Disabled | Widow), Local Media Person| NEWS Hawkers| other poor familiesAll information regarding the scheme will be explained to enrolled family.

Addition | Deletion of family members

In case any member is expired or had separated from the family will be deleted from the Scheme enrolment based on the Head of the family recommendations.

For Un-Eligible Beneficiaries (Not in SECC database)

  • If any beneficiary visits District Hospitals for enrolment, they will be treated well and their claim is registered by collecting all the documents (ID proof | Eligibility proof | Aadhar | Aadhar Consent form)
  • The details will be captured in the software and the same will be uploaded to respective Deputy Commissioners of the district for verification and approval
  • An SMS | Email notification will be sent to DCs for information.
  • DCs will arrange the verification of the received beneficiary details and they will submit their recommendations.
  • Based on the recommendations the beneficiary will be notified.
  • If the respective beneficiary is eligible as per DCs recommendation they will be enrolled into the scheme and CMHT-Manipur Health card will be issued by collecting eligible documents.
  • Once the enrolment is completed the details will be provided to the SNC.

How to avail Benefits

  • Beneficiaries who have CMHT-Manipur Health Card can visit nearest Empanelled Hospitals, CHC(Wangoi) , Call Centre team (Toll free no. 1800-103-2015 and contact Health coordinator of CMHT- Manipur Scheme.
  • At CHC, they have to present the CMHT-Manipur Health Card along with ID proof of the respective beneficiary who requires treatment.
  • The Health Coordinator will verify and coordinate with Hospital administrator and ensure the patient gets cashless admission and treatment
  • The Health Coordinator supports Hospital administrator to submit Pre-authorization to ISA through Hospital portal provided by ISA.
  • ISA does the following with Preauthorization request
  • Approve if all the details are correct.
  • Ask for more information, in case Hospital has not provided during pre-authorization.
  • Deny if the treatment required is not listed as per the scheme conditions. Or the ID proof is not matching with the health card.
  • Once ISA approves the pre-authorization, the treatment continues to the beneficiary.
  • After successful completion of treatment the Hospital will submit Claim documents online through Hospital portal provided by ISA.
  • The Health Coordinator coordinates with beneficiary, Hospital and ISA for smooth discharge of the beneficiary.
  • The Claim is submitted to ISA online.
  • The ISA will verify all the documents of claims and submitted the float once a week or once a fortnight to SNC
  • SNC will verify all the details of claims submission by ISA and makes payment to respective Hospital online.